Brief Answer:
Do not worry you will be alright in few days

Detailed Answer:
Hi,

Welcome and thanks for posting your query to XXXXXXX

I can understand your concern for the rash over both the arms form a week period.

I have gone through the good resolution pictures sent by you and can make out that the rash is extending from your arm pits to way below the elbow joint and especially more pronounced at armpit and elbow area on its inner side.

Let me reassure you first that this rash is not at all a serious problem and is simple allergic phenomenon to either environmental factor such as sunlight and heat or also due to contact with synthetic clothes or sweating or due to compound effect of any or all of these things.

This is a quite simple problem which we see in our day to day practice and persist for only the time till the aggravating factor is present. So the most important part in your management is avoidance of the aggravating factor enumerated all above.

For the betterment kindly follow the suggestions below:

1.     Avoid direct sunlight and hot – humid climate.

2.     Wear cotton clothes and avoid synthetic clothes.

3.     Stay in cool environment and avoid sweating.

4.     Take two time bath once in morning and at night time which will soothe your skin and prevent the aggravation of the problem

5.     Do not Pinch pop or squeeze or rub any area.

6.     Do not use any deodorants or any cosmetics over and near the affected area.

7.     Do cold compression over the affected area. Take a wet towel soaked in cold water and apply it for 5-10 minutes for 3-4 times a day.

For the part of treatment kindly follow the suggestions below:

1.     Apply over the counter available calamine lotion over the affected area in day and afternoon time. Apply it in very thin layer.

2.     Apply Fluticasone cream or Hydrocortisone cream in a thin layer in morning and at night time. Apply in a very thin layer so that it should not be visible to naked eye. You can apply it for 7 days and then stop it after that.

3.     If there is any irritation or itching is present then can take tablet “Loratadine” or “Levocetrizine” one time if it is less or up to three times if it is more. If these are not available as over the counter then you can take Benadryl (diphenhydramine) for 2-3 time in day, but be cautious about bit sedation.

I again reassure you that you will be quite alright in next few days if you will avoid the aggravating factors. Don’t go for any outings which can aggravate the problem. This problem will not going to leave any spot or marks or scars so don’t worry about the possibility of any marks.

I hope these information's will help you. If you have further queries I will be happy to help.

"Wish you good health"

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)

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